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Enterprise AI Analysis: Sensitive and unbiased genome-wide profiling of base-editor-induced off-target activity using CHANGE-seq-BE

AI-POWERED ARTICLE ANALYSIS

Revolutionizing Base Editor Safety:
Sensitive, Unbiased Off-Target Profiling with CHANGE-seq-BE

This analysis unpacks a groundbreaking method, CHANGE-seq-BE, that dramatically improves the detection of off-target edits by adenine and cytosine base editors. Unlike previous methods, CHANGE-seq-BE is sensitive, unbiased, and significantly reduces sequencing costs, making it a critical tool for gene therapy safety and regulatory approval.

CHANGE-seq-BE addresses critical limitations in genome-editing safety assessment by providing a comprehensive, unbiased, and cost-effective solution for identifying off-target mutations. This directly impacts preclinical development, regulatory submissions, and ultimately, the therapeutic potential of base editors.

Off-target sites unique to ABEs
Increased Sequencing Efficiency
More off-targets detected than CIRCLE-seq
Emergency IND Application Supported

Deep Analysis & Enterprise Applications

Select a topic to dive deeper, then explore the specific findings from the research, rebuilt as interactive, enterprise-focused modules.

CHANGE-seq-BE: Unbiased Genome-Wide Off-Target Detection

The core innovation of CHANGE-seq-BE lies in its ability to selectively sequence base-editor-modified genomic DNA in vitro, providing a comprehensive and unbiased view of off-target activity. This method adapts the proven CHANGE-seq framework for nucleases to precisely detect base editor modifications.

Unlike previous methods that relied on computationally preselecting sites or required massive sequencing depth, CHANGE-seq-BE directly enriches for edited DNA. This specificity minimizes background noise and vastly improves sensitivity, making it a scalable and cost-effective solution for identifying critical off-target events.

Unprecedented Sensitivity and Reproducibility

CHANGE-seq-BE demonstrated superior sensitivity, identifying 53% more bona fide off-target sites for ABE8e than the nuclease-centric CIRCLE-seq. This highlights the distinct off-target profiles of base editors compared to nucleases, underscoring the need for editor-specific methods.

The method also proved highly reproducible, with strong correlations (r = 0.9814) between technical replicates. Furthermore, it identified previously unknown off-target sites with significant ABE activity (0.55% to 13.9%), many of which were located in intergenic and intronic regions, emphasizing the importance of unbiased, genome-wide screening.

Critical Insights into gRNA Contamination and Base Editor Specificity

A significant finding was the detection of unintended 'on-target' activity due to synthetic gRNA contaminants. This cross-contamination, likely from sequential HPLC purification during manufacturing, led to measurable off-target editing in both biochemical assays and human primary cells.

This insight is crucial for regulatory safety, urging stricter quality control in gRNA synthesis for therapeutic applications. Moreover, direct comparisons revealed that ABE8e base editors exhibited substantially higher off-target activity than Cas9 nucleases, challenging the previous dogma and emphasizing the need for editor-specific safety assessments.

Enabling Personalized Gene Therapy and Regulatory Approval

CHANGE-seq-BE played a pivotal role in supporting an emergency Investigational New Drug (IND) application for personalized adenine base editor treatment. By characterizing the genome-wide off-target profile for correcting a CD40L mutation in X-linked hyper IgM syndrome, the method provided essential safety data for regulatory submission.

The ability to confidently nominate off-target sites and identify unintended activity makes CHANGE-seq-BE an indispensable tool for preclinical development and regulatory compliance of next-generation gene therapies. Its efficiency and unbiased nature pave the way for faster, safer progression of base-editing therapeutics to the clinic.

98.8% of validated off-target sites were unique to ABE8e adenine base editors compared to Cas9 nuclease, indicating substantially higher off-target activity.

Enterprise Process Flow

Purify gDNA & Tagment with custom Tn5
Circularize gDNA & Degrade linear DNA
Treat with ABE/CBE RNP complexes (nick & deaminate)
Process with Endonuclease V (ABEs) or USER enzyme (CBEs) to linearize
End Repair, dA-tail, Adaptor Ligation & PCR
Paired-end High-Throughput Sequencing
Feature CHANGE-seq-BE Digenome-seq / EndoV-seq (WGS-based)
Off-target Detection Mechanism
  • Directly enriches for base-editor modified gDNA.
  • Uses enzyme-specific cleavage (EndoV for ABE, USER for CBE) after deamination.
  • Relies on whole-genome sequencing (WGS) of treated gDNA.
  • Detects DSBs generated by end repair enzymes after deamination.
Sensitivity
  • Highly sensitive, identifies 53% more bona fide off-targets than nuclease-centric methods.
  • Low background reads.
  • Lower apparent validation rate due to high background.
  • Requires hundreds of millions of sequencing reads, reducing sensitivity.
Bias
  • Unbiased: does not preselect candidate off-target sequences.
  • Comprehensive genome-wide identification.
  • ONE-seq is biased by computational preselection.
  • WGS methods are less biased but less sensitive without enrichment.
Sequencing Efficiency & Cost
  • 20-fold more sequencing efficient than WGS-based methods.
  • Requires ~25 million reads per sample, making it accessible.
  • Requires hundreds of millions of sequencing reads.
  • Reduces scalability and increases costs significantly.
Applicability
  • Works for both Adenine (ABEs) and Cytosine (CBEs) base editors.
  • Supports IND-enabling genotoxicity studies.
  • WGS-based methods can be adapted for ABEs/CBEs.
  • Limited by sensitivity and cost for comprehensive profiling.

Case Study: Emergency IND for CD40L-deficient X-linked hyper IgM syndrome

Challenge: A person with CD40L-deficient X-linked hyper IgM syndrome required personalized adenine base editor treatment. A critical hurdle was obtaining an emergency Investigational New Drug (IND) application, which necessitated rigorous genotoxicity studies to identify and characterize potential off-target effects of the base editor.

Solution: CHANGE-seq-BE was deployed to quantitatively characterize the genome-wide gRNA-dependent off-target profile of the ABE base-editing strategy designed to correct the CD40L mutation (c.658C>T; p.Q220X).

Results: CHANGE-seq-BE successfully identified 81 potential off-target sites across the human genome, with high correlation across technical replicates. Importantly, on-target editing of 95.4% was observed with no detectable off-target effects above the threshold compared to controls, as confirmed by multiplex targeted sequencing using rhAmpSeq. This comprehensive and sensitive off-target data successfully supported the emergency personalized base editor hematopoietic stem cell and T cell treatment, demonstrating CHANGE-seq-BE's crucial role in IND-enabling safety assessments for gene therapies.

Quantify Your Gene Editing Efficiency Gains

Estimate the significant cost savings and reclaimed research hours your organization could achieve by implementing advanced, unbiased off-target profiling.

Estimated Annual Cost Savings $0
Annual Research Hours Reclaimed 0

Your Implementation Roadmap

We guide you through a phased approach to integrate advanced base editor off-target profiling into your research pipeline, ensuring maximum impact with minimal disruption.

Phase 01: Initial Assessment & Customization

We begin with a detailed analysis of your current genome-editing workflows and specific therapeutic targets. Our experts will identify key areas where CHANGE-seq-BE can provide the most value, customizing the protocol to your base editor variants and gRNA designs for optimal performance.

Phase 02: Onboarding & Training

Our team provides comprehensive training for your lab personnel on CHANGE-seq-BE library preparation, sequencing, and data analysis. This includes best practices for gRNA quality control, ensuring you can confidently generate sensitive and unbiased off-target profiles in-house.

Phase 03: Pilot Project & Validation

We collaborate on a pilot project, applying CHANGE-seq-BE to your critical base editor targets. This phase focuses on validating the method's performance in your specific context, identifying and confirming bona fide off-target sites, and comparing results to previous methods to demonstrate superior sensitivity.

Phase 04: Full Integration & Optimization

After successful validation, we assist with full integration of CHANGE-seq-BE into your routine preclinical and regulatory workflows. This includes optimizing throughput, scaling for multiple targets, and continuous support to ensure sustained high-quality, unbiased off-target detection for all your base-editing projects.

Ready to Elevate Your Gene Editing Safety?

Discover how CHANGE-seq-BE can provide the sensitive, unbiased off-target insights your base editor programs need for accelerated development and regulatory success.

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